Individual
MISS MISTY A LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(787) 388-4242
Mailing address
600 GRESHAM DR FL 5, NORFOLK, VA 23507-1904
(757) 388-3198
(787) 388-4242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024174795
VA
363LF0000X
Family Nurse Practitioner
Primary
0024174795
VA
Other
Enumeration date
04/28/2017
Last updated
10/03/2022
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